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<br /> I h::, perrnil i!� it:;Skje0 fnJrsu�ult ti, all lnetvi:-;icrn_; r'fGity pi Tracy MUnrclpa1 r_:odw fhlS ;D rmit is granted t.rpon the
<br /> e,.xprorC, condition that the permitter: st•t3ll be, responsible for all clhitn., once IiaDilttto� ;.tr irr9 out of work performed
<br /> undi+n the permit or arising out of perrritttci-,'s_ failure to prrforrri the: obltt_icAOW with rP'-P' ^ct to YRrrrl I'n:trntKn;rrrr e
<br /> Tlra- pierrTut.tr t;tr�rll, rind by ac7r.:Nph3nc.;r, W the poi'mil agree:5 to, r e-ND(1d, nuf,rnnity, e,.:rv:! and bold h rfnlenss trie
<br /> tnrj c.nlpleryar,�, tri:mr intl :�g�iin t any::.truJ .ill skjil:.• r:I;airn , or ;,iclic�n�; luif)ut hr by r1ny GrrIINOn fr;rr car
<br /> 011 ,!rc:i:;�urrl Ur;airy i)u[lily injuries, r�isEe ltik` of illness 41 ri;:rr'rrirrje LU hr.'�r'^:r'rrl�; ir'ir)Ii�i 1�r�f)rrty ;u�t�nined or 3ri:,iny irr
<br /> the.cc;rn,;rrur.UniT or lh —(ark pe:rror•rrtr�-r.l i,,nclr:r tht-- l,c.nnit or in cr ns,"u emcei ;ir prrrnittc-Cs f�rilurc to perform the
<br /> ,bfi jation N with rr:;pNr;t In sarrr+[ r'n;'iinte"r19rU:c_.
<br /> : , 5 -�._ � )ide b he roviLiurrs of this Permit.
<br /> f'c.rrrllltc� �yrC�� to al y l Fa P -
<br /> f'
<br /> t E
<br /> F'�RMITTEF ;. ctC-,NAT1.1RF l�A'
<br /> Prir,r to Fixcavahon, C ontnic-lor must. coCil-3ct thr. fnllerwinij to havo below-grOUnd ferrilitit:!; Inc;.ited (413 hours prior to
<br /> work).
<br /> UNDC-RGROI)ND SERVI(;L-' AL-L-RT
<br /> ron 1=rt'P, (BOO) 227.21500
<br /> Fioyri Sp.rvice Center
<br /> (207) 6-,;1-4420
<br /> Now: You -@f& notifie-A that it-c.hon 6500 of thr Labor Codr-, rergl.Urr-:• the is,,,u2nca: of as pc.rMittly the... DiVi`,ion of
<br /> Irldustrinl sofrty or d1E: Statca of California prior to the 0onstruction of ony tr'i:n0 Or r'_X.r i Cion which iT,five feet or
<br /> decper and into which a person in required to crescent. Excavation in city ;trvat areas without an ext.iwation
<br /> perry6l,rr-,,xy be; punishable by a fine-
<br /> F'Gir'f711Lte'c ;3grovn;; th;.-it they horeby .rc�r.;a:1[it Gumplutc rt;lwpcintiihilily for coordin:7tir.,r1 witP1, �'�yporting to, and complying
<br /> with the direction of, :any:and all board:; or d1s1hr-t:,, including but not lirniteci to, San Joaquin Counry Local Health
<br /> Dt--tric,t and C;�lifornia Regional Water Qu ility Control Board, or any othw regulatory agoncy haying jurisdiction of
<br /> authority over soil or ground vvJtr.i c ontort11n:3tion such as that eurrontly tound at the sib:, of this work, including the
<br /> presw,voucin of the health and s.att?ty of persons workinro nt.-i,.-)r or in ainy trench or e3xcav;ition r;rr on the surfactN of
<br /> thc= r_pnntriichnn project, or Ar'ry fyrr'tir'rns 1-ms,rng by or abnerving, or any persons living tri the vicinity nf the
<br /> construction pr0jrticl, for ony rr:,ar,-�c,o wtjFinae:w.r that may adversely, or uthr_rwi.e ,irfect rhe he;31th or satcty, now
<br /> raid in the: future, of these person-, or group cit person,,
<br /> Furth, rriicge, pt rrnitter:, here0y -:icK:epts complete respon!>ibility fol-cjispu!.,rtl Of any petrrAourn affti-cted soil,, or
<br /> ground water, including reporting to and complyinct with the mquirerrient.; of any, c.)r 111, 1f thi'stated, or-any other,
<br /> rc:huiatory au�cnci��;� as r1lstur��wc1 atriiwr..
<br /> CITY INSPECTOR'S COMPLETION REPORT PERMIT NUNIE3ER=�
<br /> DATE OF COMPLETION: Concrete,. _.............
<br /> Sidewalk:
<br /> Bzlckfill: P;)�Ing= _ — --
<br /> Size of Cut
<br /> 5q, rt. „ Inches Paved By:
<br /> INSPECTOR SIGN OFF
<br /> 08/16/05 TUE 11:03 [TX/RX NO 66891
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